TechniquesPercutaneous Plate Osteosynthesis of Ulnar Shaft Fractures: A Surgical Technique and Case SeriesClark, DesRaj M. MD*; Napora, Joshua K. MD†; Eglseder, Andrew Jr MD† Author Information *Walter Reed National Military Medical Center †Department of Orthopaedic Surgery, R. Adams Cowley Shock Trauma, Baltimore, MD This study was approved by the medical center’s Institutional Review Board. Patient informed consent was obtained for both the procedure and for the use of clinical photographs. In addition, steps have been taken to further de-identify clinical images. A.E. is a paid consultant for Globus Medical. For the remaining authors none were declared. Address correspondence and reprint requests to DesRaj M. Clark, MD, 8901 Rockville Pike, Building 19 Bethesda, MD 20889. E-mail: [email protected]. Techniques in Hand & Upper Extremity Surgery: September 2020 - Volume 24 - Issue 3 - p 119-125 doi: 10.1097/BTH.0000000000000279 Buy Metrics Abstract Treatment of ulnar diaphyseal fractures can range broadly from nonoperative with immobilization to surgical intervention with a variety of implants or approaches. At a Level 1 trauma center, a series of ulnar shaft fractures have been treated using a percutaneous plating technique that is base beneath the extensor carpi ulnaris. This technique description illustrates relevant anatomy, important patient and injury characteristics, implant considerations, and potential outcomes and complications. The described treatment option provides an effective way of spanning comminuted fracture patterns without disrupting the surrounding biology while providing stable fixation. An associated patient series is included which enumerates associated injuries and describes limited follow-up. In the multiply injured trauma patient, such a fixation method also had potential benefits for their overall care and rehabilitation. Copyright © 2020 Wolters Kluwer Health, Inc. All rights reserved.